- Mount Sinai Health System (New York, NY)
- …have a minimum of 3 years coding experience + At least 1 year of HCC Risk Adjustment experience, preferred + Clinical background in a healthcare setting, ... **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to...following, required: + Certified Coding Specialist (CCS) + Certified Risk Adjustment Coder (CRC) + Certified Professional… more
- Mount Sinai Health System (New York, NY)
- …have a minimum of 3 years coding experience o At least 1 year of HCC Risk Adjustment experience, preferred o Clinical background in a healthcare setting, ... **Job Description** MSHP seeks a Clinical Documentation Specialist who will support efforts to...following, required: o Certified Coding Specialist (CCS) o Certified Risk Adjustment Coder (CRC) o Certified Professional… more
- SSM Health (MO)
- …scoring. + Collaborates with others regardingclinical documentation improvement (CDI) and risk adjustment (mortality) findings. + Maintains knowledge of Centers ... - five years acute inpatient care experience preferred. + Mortality and PSI review experience preferred.. + Epic and Vizient experience preferred. We are hiring for… more
- SSM Health (MO)
- …that would support an accurateDRGassignment, SOI, and/or ROM.Assists in the mortality review and risk adjustment process utilizing third-party models. ... as well as the level of services rendered. The CDI Specialist assesses clinical documentation through extensive review of the medical record, interaction with… more
- Bristol Myers Squibb (Summit, NJ)
- …for the incumbent include ensuring accurate and timely maintenance and review of procedures and methods; providing compliance oversight; ensure accurate and ... timely review of manufacturing and laboratory investigations; and identifying any...interpret results and generate technical conclusions consistent with Quality risk management principles. + Must be able to effectively… more
- The Cigna Group (Houston, TX)
- ** Risk Adjustment Provider Educator - Houston** **Must reside in Houston, TX - Field based** **Requires travel to provider offices in and around coverage area.** ... **Job Summary:** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment & Stars program for assigned populations in an operational… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY* Provide outstanding service by effectively managing and directing the Risk Adjustment team to meet the needs of its internal customers and the ... business objectives, CMS regulations and quality standards for Medicare Advantage and IFP Risk Adjustment . * Develop and manage quality assurance programs for… more
- CDPHP (Albany, NY)
- …be responsible for the chart review and ICD-10 diagnosis coding of risk adjustment eligible members. This position will have responsibility for review ... The Risk Adjustment Coding Specialist will...of medical terminology, anatomy and physiology, and medical chart review required. + Knowledge of ICD-10 diagnosis and procedure… more
- MedKoder (Mandeville, LA)
- …hands-on production). Must have at least 1 year of specialized experience in Medicare Risk Adjustment disciplines- such as HCC, CCC HEDIS + Auditing experience a ... to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. This… more
- Hawaii Pacific Health (Honolulu, HI)
- …Administrator, Accredited Health Information Technician certification, Certified Professional Coder - Risk Adjustment (CRC) or Certified Clinical ... serve as the primary resource for coding updates; coordinate and perform quality review of the coding processes; and provide coding support for all facilities when… more
- Elevance Health (Wilmington, DE)
- …a PulsePoint location. The **Business Strategy Plan Director-Use Case Lead for Risk Adjustment ** is responsible for collaborating with business stakeholders and ... our IT department to ensure we are leveraging our clinical data (HealthOS) assets to drive downstream use cases...data (HealthOS) assets to drive downstream use cases for Risk Adjustment . This role will ensure that… more
- Sanford Health (Worthington, MN)
- …responsibilities related to the quality risk and risk score adjustment programs. Assist with the quality improvement review and audit related to ... administration and shall perform necessary delegation and coordination of clinical , operational and managerial activities to accomplish the objectives...to ensure all aspects of workflow are completed. Will review the risk score adjustment … more
- Commander, Navy Installations (Norfolk, VA)
- …consultation to military and civilian agencies about counseling services, FAP, risk assessment, clinical issues, treatment, and Incident Determination Committee ... shall be Tier II qualified as outlined in Navy FFSP Credentials Review and Clinical Privileging requirements. These include: Current, valid, unrestricted… more
- University of Michigan (Ann Arbor, MI)
- …- Combined C&W Pediatric Specialty/OB Social Work Supervisor and Pediatric Specialty Clinical Social Worker Apply Now **Job Summary** This position is a combination ... C&W Pediatric Specialty/OB Social Work Supervisor as well as clinical tasks with the Pediatric Specialty Clinics. As the...often causes significant psychosocial challenges and can lead to risk for complications and safety needs. Due to the… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH CLINICAL SUPERVISOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1371434) Apply MENTAL HEALTH CLINICAL SUPERVISOR Salary ... professional level and under the general direction of a licensed clinical program manager, supervises and coordinates multidisciplinary and ancillary support staff… more
- Tufts Medicine (Burlington, MA)
- …4. Demonstrates a strong understanding of case mix index, MCC/CC capture, severity of illness/ risk of mortality, LOS, risk adjustment diagnoses. 5. Provide ... **Job Profile Summary** The role of the Clinical Documentation Integrity (CDI) Specialist III is responsible...(CDI) Specialist III is responsible for concurrent and retrospect review and analysis of the medical record to improve… more
- Children's Aid (Bronx, NY)
- …collaboration with the SWF clinical director; * Discuss every case weekly and review all case records at least 1 time per month consistent with ACS Supervisory ... Clinical Supervisor (Safe Way Forward) 11/7/24Full Time--Bronx Job...department's processes. The position's requirements are subject to periodic review and adjustment based on organizational needs… more
- Sutter Health (Sacramento, CA)
- …intervention with patient/family behavioral issues, grief counseling, supportive counseling, adjustment to illness, life review /end of life support, ... on discharge planning; and practices independently. Provides patients with support in adjustment to illness and facilitates goals of care conversations with patients… more
- Sutter Health (Roseville, CA)
- …intervention with patient/family behavioral issues, grief counseling, supportive counseling, adjustment to illness, life review /end of life support, ... on discharge planning; and practices independently. Provides patients with support in adjustment to illness and facilitates goals of care conversations with patients… more
- UPMC (Pittsburgh, PA)
- …DRG Assignment and clinical validation of diagnoses. + Experience with HCC/ Risk Adjustment coding preferred. + Proficiency using Epic, One Content and/or ... UPMC Health Plan is looking for an Intermediate Clinical Auditor/Analyst to join the Quality Assurance team!...to analysis of payment policies, prepayment, and post payment review of high dollar claims, and prepayment review… more